Expatriate Employees’ Perception Of Challenges In Their Work Environment In The Ngo Sector In Nairobi Kenya

This study examined how expatriate employees perceive the challenges in their work environment in the NGO sector in Nairobi, Kenya. The study question was “how do expatriate employees’ workings in the NGOs sector in Kenya perceive the challenges in their work environment?” The study was anchored on person-environment fit theory and the culture shock theory of adaptation to explain the strategies employed by expatriate employees to cope with challenges in their work environment. The research design used was a descriptive survey with a target population of 2394 NGOs based in Nairobi, Kenya. The study sample consisted of 120 expatriates, although only 84 participated in the final study drawn from 60 NGOs. Questionnaires were used to collect the data. Data was analyzed using SPSS. The result showed that expatriate employees working in the Kenyan NGOs respond to challenges in their work environment by finding a fit between the Kenyan culture and that of their countries. However, sometimes there is a big clash between the two cultures which makes it difficult for the expatriates to adjust well. Some have devised some strategies to interact with the locals that have improved their communication skills and ability to work on the assignments. In cases where conversing in the local languages has been a challenge, the expatriates have sought the help of locals as interpreters. Some expatriates accompanied by their families to provide psychological support. The study therefore recommends that since the expatriate employees seem to have integrated well into the Kenya society, they can be a great source of strength to those who are taking up new assignments in this country -Kenya. The future studies could focus on how the extent of expatriate employees ‘adjustment to the conditions in the host country affects their performance. In addition, they are a source of transmission of management ‘know-how’. This makes them a strong pillar as the local employees rely on their explicit knowledge and tacit knowledge to manage the NGOs even after their repatriation

Non-conventional viticulture as a viable system: a case study in Italy

The food crisis of 2008 and the current financial crisis, coupled with concerns of climate change, have fueled a renewed interest in alternative food production systems, namely, local, organic and sustainable food systems. In many countries, research shows that in the medium to long run, organic and local food systems will be the most resistant and will provide an effective means to attain food security. Moreover, such systems also support social and cultural variables and can therefore be important in coping strategies in times of crisis. Reliable, and sustainable systems will help bear the burden of crises as well as be economically profitable as more people prefer to eat local due to environmental or economic concerns. Organic or biodynamic production systems in a local setting offer both economic and ecological advantages, from the producer and consumer perspectives. While wine is not food, it supports a wide range of people, industries, and activities, and therefore plays an important role in local economies, especially in countries like Italy. It is also deeply rooted in tradition, and is rich in local knowledge and techniques. Wine is also different in that its quality aspect is an important factor especially in terms of customer acceptance. Wine is often highly differentiated, even within the same region. The paper aims to provide a deeper understanding of the viability of the non-conventional (organic/biodynamic) viticulture and proposes a model for analysis of its economic, social and cultural context to measure impacts in an effort to evaluate the validity of the argument that these types of systems are viable and even superior options. Interviews with producers and local experts, and actual sales data will be used to identify the social, environmental and economic advantages of such systems, as well as problems, such as diseconomies of scale. Using selected indicators, the paper will also suggest policies to overcome these problems and propose some marketing strategies to render such systems more viable. In particular, the paper will evaluate for a given locality in Italy: (i) The profitability for the producer in the actual global and regional context, with competition from larger and conventional producers (ii) The probability of such methods to generate positive externalities from field to glass (iii) The feasibility of providing a higher quality product at a reasonable price for the consumer (iv) The direct and indirect impacts of this type of system for the local economy. (v) Social aspects in terms of trust and a closer connection between consumers and producers (vi) Environmental/ecological implications The above analysis will then be used to describe the particular viticulture system and select indicators for social, economic and environmental viability. These will be used in defining selected policy measures to minimize the costs and negative impacts and help define targeted marketing strategies

An exploration of interventions for healing intergeneration trauma to develop successful healing programs for Aboriginal Australians: A literature review

Introduction Health outcomes and life expectancy of Indigenous people throughout the world are far poorer than non-Indigenous populations. Emerging evidence from research shows that many social issues which impact on Indigenous peoples globally is linked to trauma over generations. This review explores literature about Indigenous people from around the world to seek interventions which have been successful in healing intergenerational trauma. Method To identify interventions that have been successful in healing intergenerational trauma amongst Indigenous populations globally, a systematic search strategy was conducted using keywords and synonyms related to the topic. Peer reviewed academic literature was sourced from four different databases i.e. Ebscohost, PubMed, CINAHL and Medline. Results There were 89 citations, 55 were identified as relevant, after duplicate copies were removed. Of these 55 papers, 23 met inclusion/exclusion criteria. Two additional papers from a reference lists were included and a total of 25 papers were analysed. A comprehensive critical appraisal of the literature was undertaken using three different appraisal tools. This review found that interventions which were successful in healing intergenerational trauma amongst Indigenous populations incorporated traditional cultural practices within their healing method(s). Discussion There was strong evidence that strengthening and reclaiming cultural identity enhances mental health disorders commonly experienced throughout Indigenous populations. Often non-Indigenous clinicians, although well intentioned, fail to address the needs of Indigenous people because they lack the understanding and awareness of Indigenous people’s culture. This review highlights benefits of blending Indigenous and Western approaches into healing intergenerational trauma and the concept of ‘Two-Eyed Seeing’. This concept acknowledges that each of our worlds has its strengths and if we respectfully and methodically accept these strengths, they can work together and effectively to bring about healing. Conclusion Healing from intergenerational trauma is not a straightforward process. Incorporating traditional healing methods assists in the development of cultural identity, which was found to be extremely important in the healing process. To address trauma effectively, clinicians need to acknowledge the historical impact from public policies by having a real understanding of our history

Probabilistic Graphs for Sensor Data-driven Modelling of Power Systems at Scale

The growing complexity of the power grid, driven by increasing share of distributed energy resources and by massive deployment of intelligent internet-connected devices, requires new modelling tools for planning and operation. Physics-based state estimation models currently used for data filtering, prediction and anomaly detection are hard to maintain and adapt to the ever-changing complex dynamics of the power system. A data-driven approach based on probabilistic graphs is proposed, where custom non-linear, localised models of the joint density of subset of system variables can be combined to model arbitrarily large and complex systems. The graphical model allows to naturally embed domain knowledge in the form of variables dependency structure or local quantitative relationships. A specific instance where neural-network models are used to represent the local joint densities is proposed, although the methodology generalises to other model classes. Accuracy and scalability are evaluated on a large-scale data set representative of the European transmission grid

On-line network reconfiguration for loss reduction in distribution networks with Distributed Generation

ABSTRAC

Power system dynamic state estimation: motivations, definitions, methodologies, and future work

This paper summarizes the technical activities of the Task Force on Power System Dynamic State and Parameter Estimation. This Task Force was established by the IEEE Working Group on State Estimation Algorithms to investigate the added benefits of dynamic state and parameter estimation for the enhancement of the reliability, security, and resilience of electric power systems. The motivations and engineering values of dynamic state estimation (DSE) are discussed in detail. Then, a set of potential applications that will rely on DSE is presented and discussed. Furthermore, a unified framework is proposed to clarify the important concepts related to DSE, forecasting-aided state estimation, tracking state estimation, and static state estimation. An overview of the current progress in DSE and dynamic parameter estimation is provided. The paper also provides future research needs and directions for the power engineering community

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks